By David Burda – According to a new survey, PCPs that got paid under one or both types of VBR contracts were more likely to participate in accountable care organizations, to participate in patient-centered medical homes, and to screen patients for social determinants of health.
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By David Burda – One of my favorite scenes in The Princess Bride is when Miracle Max tells Inigo and Fezzik that Westley is “mostly dead,” which means he’s “slightly alive.” There’s hope for a full recovery. We can say the same thing about value-based reimbursement, if we have as much faith in a few recent VBR status reports as Inigo and Fezzik have in Miracle Max.
By Sanjay Seth MD – Negotiating value-based reimbursement is a complex process for healthcare providers. Organizations need to consider the specific population covered under the contract, the particular reimbursement model used, and which quality and utilization measures will be tracked.
By Sreeram Mantha – With the federal meaningful use program having dangled the “carrot” of millions of incentive dollars in front of healthcare providers to implement certified EHRs over the last decade, many more systems have been implemented than ever before.
CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on Inpatient Skilled Nursing Facility denials and Chronic Care Management Payment correction for RHCs and FQHCs.
CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on IPPS and LTCH Proposed Rule , Medicare Advantage quality data, Next Generation ACO Model, and Open Payment Data.
CMS is reporting these events and information on payment issues concerning Medicare and Medicaid. News includes updates on eCQM library and eCQI resources, SNF Value-Based Purchasing Program, Medicare Shared Savings Program, and the Clinical Laboratory Fee Schedule.
HIMSS has released a survey to assess how providers are preparing for the shift to value-based payment models. Providers in all settings can participate. The survey will be available through 12/31/2015, with results shared at the HIMSS 16 in Las Vegas in February.
By Tawnya Bosko – With increased focus on payment based on value, physician practices and those involved with physician practices need to plan for how to transition to new reimbursement models. Here are the top considerations to keep in mind when implementing value-based structures: